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22917 76TH AVE W
APPLICATION
for
y cif Edmonds SEWER PERMT
filLCEDE
ST R, EETU &M INSIDE E] REPAIRS F1
EASEMENT No . .......... ---------------------------
OWNEI�4, .... —�,5zy ----------------- .. CONTRACTOR ----------------- A,& .................................................. ............ . PERMIT No.
�V STREET
HOUSE ZZ- ......................... AVENUE WT No . ........
------- BLOCK No - ---------- ...............................
APPROVED
N! A R 1 4
117 ............................
Date Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $ .............................................
By
SEWER WORK ORDER ISSUED .......................................... DATE . ..... ........... 4,
----------------- I ......... .........
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'PERMIT
SIDE"SE.WE
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PO*IS'Sibli ig liahted:, 14V , 'h , Z for ..................... day§, to' -REPAIR'. oi� CONNECT
a side sewer
With applicatio
on fie and in or m nCes..
go
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ATTFNTION. IS i CALLE15,
TO THE FOLLOWING:.
I., NOTE, No.. I —The owners' of -the
must I ' pr may obtain a. permit to constructcsewer inside property line. A licensed Side Sewer Contractor
be, employed to construct side sewer in street area. Do not
over any portion of sewer before if has been inspectiA.
I NOTE No. 2—Obtain full information- regarding Ordinance li.16.030 and Regulations
I ... governing side sewers, when you g-et permit.
I 'NOTE No. 3—T6P of side sewer must have at least 30 inches coverage at Property line and 12 inches inside pr op ! � ty line;
2%.'.No bendsin.g-iade sharper than 'A will be permitted. r minimum grade of
;�OTE No. 4—Tre*nches in 'street must be water settled and surface of street restored to original condition. Contractors shall be responsible. for
failure. due 'to improper work which, may.develbp within one:
year of.completion.
to alter�or do any other work than is provided for in the Permit,:or to do
NOTE No. 5—it 1. unlawful
purte,na,n . cet§ I �xc e pt to insert the 'pipe into the wye. any work on the main sewer or its ap-